Abstract
Blood and Body Fluid Exposures (BFFEs) involve a complex sequence of events combining technical, human and organizational factors. Performing root cause analysis (RCA) of these events is promoted to improve safety. We conducted a RCA of a BBFE in a radiology unit using a recently developed French method called Orion.
Highlights
Blood and Body Fluid Exposures (BFFEs) involve a complex sequence of events combining technical, human and organizational factors
We conducted a root cause analysis (RCA) of a BBFE in a radiology unit using a recently developed French method called Orion. This first use of the ORION method to analyse a BBFE proved successful. This method seems quasi-intuitive and easier to conduct than previously described methods because it relies on a detailed chronology
It allows the implementation of BBFEs preventive measures and promotes collaborative teamwork
Summary
Blood and Body Fluid Exposures (BFFEs) involve a complex sequence of events combining technical, human and organizational factors. Performing root cause analysis (RCA) of these events is promoted to improve safety.
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